Description |
Responsible for assessing and analyzing an injured employee to evaluate the medical and vocational needs required to facilitate the patient s appropriate and timely return to work. Acts as a liaison with patient/family, employer, provider(s), insurance companies, and healthcare personnel.
* Assesses and analyzes an injured employee s medical and vocational status. Develops a plan of care to facilitate the patient s appropriate and timely return to work.
* Interviews patient s in their homes, work-sites, or physician s office to provide ongoing case management services.
* Monitors patient progress toward desired outcomes through assessment and evaluation.
* Communicates both in-person and telephonically with patient, medical providers, attorneys, employers and insurance carriers. Prepares all required documentation of case work activities.
* May arrange referrals, consultations and therapeutic services for patients. Confers with specialists concerning course of care and treatment.
* Develops and administers educational and prevention programs.
* Applies all laws and regulations that apply to the provision of rehabilitation services. Applies all special instructions required by individual insurance carriers and referral sources.
* Testifies as required to substantiate any relevant case work or reports.
* Performs other duties as assigned.
* Registered nurse with current state (IL
* MUST BE BI LINGUAL SPANISH
Previous (3 or more years) Case Management experience required. * Bachelor s degree or equivalent experience preferred.
* CCM, CRRN, COHN, or CDMS eligibility or current certification encouraged. These designations are required where dictated by state law.
* Part-time work schedule ( 20 hours a week)
* Knowledge of laws and regulations governing delivery of rehabilitation services.
* Knowledge of Workers Compensation and disability industry
* Strong problem solving and analytical skills.
* Ability to work independently, this a work from home position.
* Strong computer skills with wireless devices such as, laptop and smart phone. Able to work on automated files
* Regular, daily local travel required. Must have reliable means of transportation.
* Professional communication skills both written and verbal is required. Fluent in Spanish is preferred.
* Strong organizational, time management and interpersonal skills.
Coventry Health Care is an Affirmative Action/Equal Opportunity Employer, and we are committed to building a talented and diverse team.
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Requirements |
See job description.
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